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Risk factors for perineal lacerations in teen deliveries.
MedLine Citation:
PMID:  22453619     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: : Severe perineal lacerations have been associated with the development of fecal incontinence. This study was designed to identify risk factors for severe perineal lacerations in vaginal delivery in a teen population.
METHODS: : This was a retrospective database analysis of 534 teen term, singleton, cephalic vaginal deliveries. The primary outcome was the occurrence of a third- or fourth-degree laceration. Categorical and continuous variables were compared using the χ and Student t tests, respectively.
RESULTS: : Overall, 43 (8.1%) of our patients had third- or fourth-degree lacerations. In a multivariate regression model, the use of insulin in pregnancy, episiotomy, operative vaginal delivery, and increased infant birth weight all had an increased odds ratio for severe perineal laceration.
CONCLUSIONS: : Operative vaginal delivery, episiotomy, increased infant birth weight and gestational diabetes requiring insulin for glucose control all appear to increase the risk of severe perineal laceration at the time of vaginal delivery in a teenage population.
Authors:
Danielle Patterson; Andrew F Hundley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Female pelvic medicine & reconstructive surgery     Volume:  16     ISSN:  2151-8378     ISO Abbreviation:  Female Pelvic Med Reconstr Surg     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2012-03-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101528690     Medline TA:  Female Pelvic Med Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  345-8     Citation Subset:  -    
Affiliation:
From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, The Ohio State University Medical Center, Columbus, OH.
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